HomeMy WebLinkAbout05-22-13 J 1505610101
REV-1500 Ex`°'_'°, �
PA Department of Revenue pennsylvania OFFICIAL uSE ONLY
Bureau of Individual Taxes °"`"`� County Code Year File Number
Poeoxz8o6oi INHERITANCE TAX RETURN rt
Harrisburg,PA 17ia8q6oi RESIDENT DECEDENT �1 I a. '� y u
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Bir[h MMDDVYW
02/06/2012 05/27/1915
Decedent's Last Name Suffix DecedenPS First Name MI
PHILLIPS MARGARET B
(If Applicable)Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
N/A
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
� 1. Original Return O 2.Supplemenlal Return O 3. Remainder Retum(date of death
pnorto 12-13-82)
p 4.Limited Estate O 4a. Futura Interest Compromise(date of O 5. Federal Estate Tax Return Required
dea[h aker 72-12-82)
� 6. Decedent Died Testate O 7.Decedent Maintained a Living Trust 0 8. Total Number of Safe Deposit Boxes
(Attach Copy of Wlil) (Attach Copy of 7rust)
O 9. Litigation Proceeds ReceiVed O 10.Spousal Poverty Credit(date of death O 11. Election to tax under Sec.9113(A)
benveen 1231-91 and b7-95) (Attach Sch.O)
CORRESPONDENT- THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIUENTIAL TAX INFORMATION SNOULD BE DIRECTED T0:
Name Daytime Telephone Number
Andrew H. Shaw (717)2�7135 _ � .�r
REOIpT�F WILL5J1$E OI � .
C`i _ �> --
t-... ��:: n -c Gn i i
r
First line of address =`' } r � ;�,�� �,'1
f— =:. r^t N �7 �y
200 S. Spring Garden St " �'� ;''. �, .,
= �:> �, -.i
Second line of address ���7 �, ' - '-. '"o
,� .. .. , .. "'
Suite 11 , '"' i= r�
, ,.._
Ci�y ol PoSt OffiCe State ZIP COde `�"• �DATE FILED •
;.` � 'r1
Carlisle PA 17013
correspondenrs e-ma�i address: andrew@ashawlaw.com
Under penalties of peryury,I tleclare that I have Bzamined Ihis retum,including accompanying scM1edules and stalemenls,and to the besl of my knowledge and belief,
it is Irue,coAect antl comple�e.Declaration of parer other than the personal reDresentetiva is based oa all information ot which preparet has any kirowletlge.
SIG�U E OF P RSO O I E FILING RETURN � DATE
3 - ai - � �
ADDRES
417 C rokee Drive, Mechanicsburg, PA 17050
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE
ADDRE55
200 S. Spring Garden Street, Suite 11, Carlisle, PA 17013
PLEASE USE ORIGINAL FORM ONLY
Side 1
� 15U56101U1 15�561�101 J
J 15056101D5
rxev-i soo ex
Decedent's Social Security Number
oecedenes Name: M8fg9f@t B. Phllllps
RECAPITULATION
1. Real Estate(Schedule A). . . . . . .. ... .... ... . . . . . . . ...... . . . . . . . . ... ... 1. 0.00
2. Stocks and Bonds(Schedule B) . . .. ... ..... .. . . . . . . ..... .. . . . . . . . . .. . . 2. �.00
3. Cbsely Held Corporation,Partnership or Sole-Proprietorship(Schedule C) ..... 3. 0.�0
4. Mortgages and Notes Receivable(Schedule D). . .. . . . ... .... ... . . . . . . . . . . 4. 0.�0
5. Cash,Bank Deposiis and Miscellaneous Personal Property(Schedule E). . . . . . . 5. 141,461.2$
6. Jointly Ow�ud Property(Schedule F) O Separate 8illing Requested . . . . . . . 6. 5,25$.71
7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property
(Schedule G) O Separate Billing Requested..... . .. 7. 0.00
8. ToWI Gross Assets(total lines t through 7}. .. ....... . . . .. . .. . ....... . . . 8. 146,719.99
9. Funeral Expe�ses and AdmioisVative Costs(Schedule H)... . . . . . .. . ... .... . 9. 10,889.50
10. Debts of Decedent,Mortgage Liebilities,and Liens(SChedule I) . . . . . ....... .. 10. 0.00
11. ToWI Deductlons(total Lines 9 and t0). ... .... .. . . . . . . . .... ... .. . .. . . . . 11. 10,869.50
12. Net Value of Estate(Line 8 minus Line 11) ....... . . . . . .. . ....... ... . . . . . 12. 135,85�.49
13. Charitable and Govsrnmenfal Beques[s/Sec 9113 Trusts for which
an election to tax has not been made(Schedule J) .... . . . . . . . . . .. ... .... . . 13. 5,0�0.00
14. Net Vaiue Subject to Tax(Line 12 minus Line 13) ..... . . . .. ... ... .... . . . . 14. 130,850.49
TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATE$
15. Amount of Line 14 taxable
at the spousal tax rete,or
transfers under Sec.9116
(a)(1.2)X.0 0 0.00 15. 0.00
16. Amount of Line 14 taxable
at�ineal rate X.0 45 130,850.49 �g, 5,888.27
17. Amount of Line 14 taxable
at sibling rate X.12 0.00 �7. 0.00
18. Amount of Line 14 taxable
at collateral rete X.75 0.0� 1g 0.00
19. TAX DUE . . . . . . .. . .. .. . .. .. . . . . . . . . . .. ..... .. . . . . . . .. . ......... . .. 19. 5�a88.27
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O
Side 2
� 1505610105 150561U1�5 J
REV-1500 EX Page 3 File Num6er
Decedent's Complete Address:
DECEDENT'S NAME
Margaret B. Phillips
STREETADDRESS
417 Cherokee Drive
CITY STATE ZIP
Mechanicsburg PA 17050
Tax Payments and Credits:
1. Tac Due(Page 2,Line 19) (1) 5,888.27
2. Credits/Payments
A.Prior Payments 0.00
B.Discaunt 0.00
Total Credits(A+B} (2) 0.00
3. Interest
(3) 95.11
4. If Line 2 is greater ihan Line 1 +Line 3,enter ihe difference. This is ihe OVERPAYMENT.
Fill in oval o�Page 2,Line 2U W request a rePond. (4)
5. If Line 1 +Liae 3 is greater than Line 2,enter lhe difference.This is the TAX DUE. (5) 5,983.38
Make check payable to: REGISTER OF WILLS, AGENT.
�n •-.�,� ��:,-.��° � � �:� ��;�:.��, ��� x �°y a.. �
PIEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE SLOCKS
1. Did decedent make a iransfer and: Yes No
a. retain the use or income of the property transferred:.......................................................................................... ❑ �
b. retain ihe righl to designate who shall use the property transferred or its income:............................................ ❑ 0
c. retain a reversionary interest:or.......................................................................................................................... ❑ �
d. receive the promise for li5e of edher payments,benefits or care?...................................................................... ❑ 0
2. If death ocarred after Dec. 12,1982,did decedent transfer propedy within one year of death
without receiving adequale consideration?.............................................................................................................. ❑ �
3. Did decedent own an"in trust for"or payable•upon-death bank account or security al his or her death?_............ ❑ �
4. Did deceden�own an individual retirement account,annuity or other non-probate properry,which
contains a beneficiary designation? ........................_.............................................................................................. ❑ �
If THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YW MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RE?URN,
�•. >. �w�" �c, ,,f.,.:�: � ����, �� . ,.;"� � .��' " . . .�'ra
REV-1508 EX+(6-98)
SCHEDULE E
COMMONWEA4THOFPENNSYLVANIA CASH, BANK DEPOSITS� Cl MI.T..
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENTDECEDENT
ESTATE OF FILE NUMBER
Margaret B. Phillips 21-12-0240
Include the proceetls of Ntigation and the date the proceeds were recaNed by N�e eskMe.
All property�olMty-owned wlih rlght of survlvonhlp must be dlaGosed on Scheduk F.
ITEM VALUE A7 DA7E
NUMBER DESCRIPTION OF DEATH
1. M&T Bank,Account#10425047 1,871.01
2. Keystone Financial Associates,LLC,Account#RA38670008 139,590.27
TOTAL(Also enter on line 5,Recapitulation) $ 141,46128
(If more space is needetl,insert addttional sheets of ihe same size)
�cSR 1V�&']f'�an��
EACCUU,Ow250��_ M6T CLASSIC CoHECKING W/INTEREST DECAllMJAN.13R2012 1 OF 2
00 0 06109M NM 017
al��/ia
- - 59271 �/ / � �/' �/
- MARGARET B PHILLIPS v� /
INIIIAN CREEK
417 CHEROKEE DR
ME(:HANICSBURG PA 17050-2510
INTERE51 EARNI:D FOR STAiEMENT PERIOD 0.02 HAMPDEN
INTERES7 PAID YEAR TO DATE 0.02
ACCOUNT SUMMARY
�BECINNING UEPOSITS 8 � � � ��� � OTMER �I� � CURRENT �� ENRFNG
BALANCE'� ��' �� �OTHER�ADDITIONS CHECKS PAID ��� �BUBTRACTIONS �� 'INTEREST�PD ��BALAtN:E �
NO. AMOUNT NO. AMOUNT N0. AMOUNT
2�440.!�6 2 4,911.00 12 6�706.44 2 236.00 0.02 409.14
_ ACCOUNT ACTIVITY
POS7ING �. �� . ����DEPpSI7SaINTEREST IS,CH€CKS .8�� 07HER pATLY�.�
�'�DATE �' � __ �_TR.RNSACTSON �ESCRIPYION ���8'��-0THER�'�AUDSTSONS ��'����� SUB7RAC2IONS BALANCE
12-17-11 BEGI��NIIIG BALANCE 52,440.56
12-23-1] CHECN. NUMBER 2!i60 . 250.00 � - 2�190.56
12-27-1] CHECM NIIMBER 2!i65 500.00
12-27-1] CHECN NIIMBER 2!i59 250.00' '� 1�440.56
12-28-1] R�ieh 8 Tang Rtl3867000B 4,000.00
12-28-1] CHEtk NUMBER 2566 500.00
12-28-11 CHECR NUMBER 2!ib2 50.00
12-28-11 CHECB NIMBER �>61 50.00 � 4,840.56
12-29-11 AARP AARP 000000000002567 16.00 4�824.56
12-30-11 CHECB NIMBER 2!i63 250.00
12-30-11 CHECN NUMBER 2!i64 50.00/ 4�524.56
U1-03-12 US TFEA:iURY 30iS RXSOC SEC 911.00 5,435.56
01-05-12 UniladHnslthc•re PREMIUM 220.008.
01-0542 CHECN NUMBER 2!i70 308.00 ' 5�107.56
01-09-12 CHECN HUMBER 2!i6� 4�625.54 � 482.02
01-10-12 CHECN NUMBER 2!i71 49.00 ' 433.02
01-11-12 CHELN NUMBER 2!i68 23.90 � 409.12 .
01-13-12 INTERES'If PAYMEHT 0.02 � 409.14
ENDIkG ISALANCE 9409.14
�____ CH�CKS PATD..SUMMARY
2559 12-:'7-L1 250.00 2560 12-23-11 250.00 2561 12-28-11 50.00
2562 12-L'8-11 50.00 2563 12-30-11 250.00 2564 12-i0-11 50.00
2565 12-P7-11 500.00 2566 12-28-11 500.00 2568■ 01-11-12 23.90
2569 O1-P9-1.^. 4,625.54 2570 01-05-12 108.00 2571 01-10-12 49.00
�:
1A08A(BMY) , s�: .
�!c�a�t 1�/1':��7"��'::�f 6 ,
nCCOUNT Nu � __ _ ACCOUNT TYPE� . � STATEMENT PERIQD � ppGE � �
l0i ,0� 7 �y;f CLASSIC CHECKING W/INTEREST DEC.17-JAN.13�2012 2 OF 2�
E___ _ �______
- --- NF'�F'GARET B PHILLIPS
] NLIAN CREEK
___.______ OVERDRAFT AND NSF FEE SUMMARY
, . �. � . � �� T07AL FOR,�.THIS �TOTAL FOR�LALE qR '�� �.�� TOTAL, FpR :PRIDR �
� � . � STATEMENT�� CYCLE � �� YEAR-TO�-DATE ��'� CALENDAR ��'��
_—_'__—_'— �..�.. � . .. , � '� '.�. YEAR �
TOTAL [NSUFFICCEN" FUVOS (NSFI FEES 6.00 5.00 5.00
TOTAL CVIiRDRdFI FEEi 5.00 8.00 647.00
Totsl Cnsufiicien'_Funds (NSF) Faes ineluda par itom fe�s chsrg�d rrhan N� raturn en itew unpeid becaus�
4her� nr� nat �.su7'tieinn4 funds in th� secount {o eover }M i4sn. To4�1 Ov�rdref4 F��s inelud�
par itnn Yn s r.hHrgod wh�n na psy an it�n }hak owrdraws th� aecoun{ as wdl as any Exlmd�d Ov�rdraff
Faes char��d tu i�Fe ar.eount.
IJVERDRAF"f AND NSF FEE WAIVERS, REVERSALS AND REFUNDS SUMMARY
� T� �Al FOR�CAtE 0.R 7.T0 N FOR��.PR R�����
, YEAR�TO-1fAiE '�� CALENDAR�
�' YEAR .!'.
E SFi�F 8 N,�1�F�'E�TI� RS,� RSA S D .00 - .00 ��
TOTAI. OVE'.RDRAFT 0 H:iF FEES LESS ANY NAIVERS� REVERSALS B REFUNDS 5.00 B10.00
Nol� Fox Mai���rs, REw�rsals 8 R�funds my inelud� waiv�rs� r�v�rals or r�funds appli�d to your
accouni: �khis y��ar for fsas �ss�ssod in !he prior y�ar.
ANNUAL PERCENTAGE YIELD EARNED = 0.00 %
■� GROiI YWR SAVINGS THE EASY NAY *�
E/�SY SAVI: IS A CONVENIENT SERVICE TNAT ALLOMS YW TO SET UP AUTOMATIC TRANSFERS
FItOM YOUIt M67 CHECKING ACCWNT TO YWR M8T SAVINGS ACCOUNT.
■■ YOU CHOOSE THE AMOUNT AND FREQUENCY
■� YOU CAN CHANGE OR STOP IT AT ANY TIME �
T(i GET 51'ARTED� LOG ON 70 MiT MEB BANKIN6 AND CLICK TXE TRANSFERS TAB OR STOP BY
YCiUR IOChL MtT BRANCH. LEARN MORE AT MTB.COM/EASYSAVE. MEMBER FDIC.
FOR CUS70MER SERVICE WESTIONS� PLEASE CALL (800) 724-2440
xx i t
LOOBA(6/0't) � �
Holdings_by Investor
�� Margaret Phillips Timothy G Long Combined Account Portfolio
417 Cherokee Dr Keystone Financial Associates, Date: 02/06/2012
Mechanicsburq, PA LLC Created: 02/22/2012
KEYSTONE 176 Cumberland Pkwy, Suite 202
e�nnxc�ni.nssoanrr.s Keystone Financial Associates,
ne�.�o,. ,o� .,i� LIC
._ _ __ _ Mechanicsburg PA 17055
Margaret Phillips
Acct Name:MARGARET PHILLIPS 417 CHEROKEE DR MECHANICSBURG, PA
Acct No:RA3867000B Acct Type:lndividual
Aaset Name Tieker� AsaatType Mgt.Name puantity Pdce(S)� Yalue(E)
3M CO COM MMM US STOCKS 4.78 87.56 417.07
ABBOTT IABS COM ABT US STOCKS 10.91 55.39 604.36
ACCENTURE PLC IRELAND SHS ACN NON-US STOCKS 2.86 57.66 165.12
CLASS A
AIR PRODS 8 CHEMS INC COM APD US STOCKS 1.70 89.93 153.15
AMERICAN ELEC PWR INC COM AEP US STOCKS 1.80 39.81 71.36
AMERICAN TOWER CORP NEW AMT US STOCKS 3.57 63.13 225.10
COM
ANNALY CAP MGMT INC COM NLY US STOCKS 7.72 17.08 131.93
AQR FDS MNG FUT FD N AQMNX CASH AQR FUNDS 120.70 9.48 t,144.25
AT&T INC COM T US STOCKS 15.51 29.97 484.79
AUTOMATIC DATA PROCESSWG IN ADP US STOCKS 8.90 55.12 490.39
COM
BAYTEX ENERGY CORP COM BTE NON-US STOCKS 6.81 57.24 378.32
BB&T CORP COM BBT US STOCKS g,75 pg.gy �gq 5�
BCE INC COM NEW BCE NON-US STOCKS 2.44 40.74 99.45
BHP BILLITON PLC SPONSORED BBL NON-US STOCKS 1.10 69.44 76.06
ADR
CASH CASH 3.12 1.00 3.12
CHEVRON CORP NEW COM CVX US STOCKS 6.16 106.67 657.10
CHIMERA INVT CORP COM CIM US STOCKS 25.00 3.09 77.24
COCA COLA CO COM KO US STOCKS 327 68.03 222.31
CONOCOPHILLIPS COM COP US STOCKS 421 71.32 300.32
CPFL ENER6IA S A SPONSORED CPL NON-US STOCKS 9.43 30.48 2g7,54
ADR
CURIAN/PIMCO INCOME FUND XXINC NON-CLASSIFIED 7,502.31 10.31 77,348.81
DAILY INCOME FD MMKT PTF I CASH 151.52 1.00 151.52
COMOND OFFSHORE DRILLING IN DO US STOCKS 0.65 63.35 41.12
DIGITAL RLNTR INC COM DLR US STOCKS 6.33 71.23 451.08
DOMINION RES INC VA NEW COM D US STOCKS 4.34 50.27 218.17
DU PONT E I DE NEMOURS 8 CO DD US STOCKS q.zi 5�.7g 2��g�
COM
Incomplete if presented withoul accompanying discbsure pages � Page 1�of 5
Hoidings by Investor
�� Margaret Phillips Timothy G Long Combined Account Portfolio
417 Cherokee Dr Keystone Financial Associates, Date: 02/06/2012
Mechanicsburg, PA LLC Created: 02/22/2012
KEYSTONE 176 Cumberland Pkwy, Suite 202
FwaNC�n�.nssoc�nres Keystone Financial Associates,
ae�i�o�s roi ;ire LIC
__ ___ __ Mechanicsburg PA17055
Asaet Name Tfcked� � Aaaetrype Mgl.Nama Quankily Prica(S)� Value(S)�
EMERSON ELEC CO COM EMR US STOCKS 12.38 53.37 660.60
ENBRIDGE INC COM ENB NON-US STOCKS 12.66 38.60 488.61
EXXON MOBIL CORP COM XOM US STOCKS 8.42 85.75 550.56
FEDERATED PRUDENT BEAR FUND BEARX CASH FEDERATED 53.00 4.06 215.17
SERVICES
CORP
FINANCIAL INVS TR PRVT EQT FD A LPEFX NON-US STOCKS LISTED 194.10 4.58 888.98
PRIVATE
EQUITY FUND
FIRST NIAGARA FINL GP INC COM FNFG US STOCKS 11.06 9.86 109.02
GENERAL MlS INC COM GIS US STOCKS 11.94 39.67 473.82
GENUINE PARTS CO COM GPC US STOCKS 2.88 64.50 185.44
GOLDCORP INC NEW COM GG NON-US STOCKS 2.65 47.52 125.93
GRACO INC COM GGG US STOCKS 4.95 48.78 241.38
HCP INC COM HCP US STOCKS 9.04 41.67 376.69
HEINZ H J CO COM HNZ US STOCKS 3.43 52.16 178.94
HOME DEPOT INC COM HD US STOCKS 3.09 45.20 139.77
ING GLOBAL REAL ESTATE IGLAX NON-US STOCKS ING FUNDS 664.44 16.46 10,936.63
CLASS A
INTEL CORP COM INTC US STOCKS 14.63 26.72 390.97
INTL PAPER CO COM IP US STOCKS 3.76 31.47 118.32
ISHARES TR DJ SEL DIV INX DW US STOCKS 14.09 54.75 771.60
ISHARES TR US PFD STK IDX PFF OTHER 243.11 38.42 9,340.35
ITC HLDGS CORP COM ITC US STOCKS 5.26 75.44 396.49
JOHNSON CTLS INC COM JCI US STOCKS 2.14 33.54 71.72
JPMORGAN CHASE&CO COM JPM US STOCKS 4.53 38.14 172.95
JPMOR6AN MARKET NEUTR4L JMNAX CASH JP MORGAN 30.43 14.35 436.73
FUND A FUNDS
KIMBERLY CLARK CORP COM KMB US STOCKS 3.45 72.20 24g.28
KINDER MORGAN MANAGEMENT KMR US STOCKS 627 77.66 488.02
LLC SHS
LORD ABBETT INTL DIVIDEND INC A LIDAX NON-US STOCKS LORD,ABBETT 913.29 8.03 7,333.74
&CO
MCDONALDS CORP COM MCD US STOCKS 8.71 9g.49 866.48
MERGERFUND MERFX CASH MERGERFUND 2824 15.63 441.39
COM OCHIP TECHNOLOGY INC MCHP US STOCKS 9.16 38.02 34820
Incomplete if presented without accompanying disclosure pages Page 2 of 5
Holdings by Investor
�� Margaret Phillips Timothy G Long Combined Account Portfolio
417 Cherokee Dr Keystone Financial Associates, Date: 02/O6/2012
Mechanicsburg, PA LLC Created:02/22/2012
KEYSTONE 176 Cumberland Pkwy, Suite 202
erxnvcin�,associnTCS Keystone Financial Associates,
ae���,.,, ro� irr� LIC
_ ____ _ __ _ Mechanicsburg, PA 17055
Assee Nama Tickar. Assetrype � Mgt.Name quanlity��. Pdce(S) Vaiue(S)
MICROSOFT CORP COM MSFT� US STOCKS 18.58 3020 561.19
NATIONAL PRESTO INDS INC COM NPK US STOCKS 1.98 101.17 199.88
NEXTER4 ENERGY INC COM NEE US STOCKS 7.59 59.97 45525
NIKE INC CL B NKE US STOCKS 4.58 103.46 473.41
NORTHROP GRUMMAN CORP COM NOC US STOCKS 4.49 58.80 264.03
ONEOK INC NEW COM OKE US STOCKS 927 81.73 757.59
PAYCHEX INC COM PAYX US STOCKS 4.21 31.72 133.66
PEPSICO INC COM PEP US STOCKS 2.30 66.52 15326
POWERSHARES GLOBAL ETF PGX OTHER 577.75 14.32 8,273.37
TRUST AGG PFD PORT
PPG INDS INC COM PPG US STOCKS 224 90.86 203.13
PRICE T ROWE GROUP INC COM TROW US STOCKS 4.98 58.76 292.85
PROCTER&GAMBLE CO COM PG US STOCKS 6.26 63.51 397.63
RAYTHEON CO COM NEW RTN US STOCKS 2.49 49.30 122.83
SIMON PPN GROUP INC NEW COM SPG US STOCKS 4.06 137.52 558.76
SOUTHERN CO COM SO USSTOCKS 4.60 4420 203.28
SPECTRA ENERGY CORP COM SE US STOCKS 8.09 30.75 248.87
STAPLES INC COM SPLS US STOCKS 9.00 14.88 133.89
TARGA RES CORP COM TRGP NON-US STOCKS 9.78 43.48 425.23
TAUBMAN CTRS INC COM TCO US STOCKS 2.46 68.55 168.50
TEXAS INSTRS INC COM TXN US STOCKS 224 33.61 7529
TIME WARNER INC COM NEW TWX US STOCKS 3.88 37.97 147.44
TOTAL S A SPONSORED ADR TOT NON-US STOCKS 3.01 53.94 162.51
TRAVELERS COMPANIES INC COM TRV US STOCKS 3.89 59.33 230.75
TURNER SPECTRUM FUND TSPCX CASH TURNER 38.67 11.17 431.97
INVESTOR CLASS FUNDS
UGI CORP NEW COM UGI US STOCKS 4.80 27.58 132.44
UNITED PARCEL SERVICE INC CL B UPS US STOCKS 5.42 76.92 417.01
UNITED TECHNOLOGIES CORP UTX US STOCKS 424 80.57 341.53
COM
US BANCORP DEL COM NEW USB US STOCKS 8.83 29.16 257.37
VAN ECK GLOBAL HARD ASSETS A GHAAX US STOCKS VAN ECK 17.56 49.09 662.02
VERIZON COMMUNICATIONS INC VZ US STOCKS 4.56 38.14 173.93
COM
Incomplele if presented without accompanying disclosure pages Page 3 of 5
Holdin�s by Investor _
�� Margaret Phillips Timothy G Long Combined Account Portfolio
417 Cherokee Dr Keystone Financial Associates, Date: 02/O6/2012
Mechanicsburg, PA LLC Created:02/22/2012
KEYSTONE 176 Cumberland Pkwy, Suite 202
FiNnxc�n�.nssoc�nres Keystone Financial Associates,
ne.�,o,. io� tire LIC
_ _. Mechanicsburg, PA 17055
Asset Name Ticker nsseeType Mgt.Name Quantity� Pdce(S) Value(S)
WAL MART STORES INC COM WMT US STOCKS 3.71 61.88 229.64
WASTE MGMT INC DEL COM WM US STOCKS 6.18 35.37 218.56
WELLS FARGO&CO NEW COM WFC US STOCKS 9.71 30.20 293.34
AccounlTOtal: $139,590.27
�InvestorTotal: E139,590.27
Incomplete N presented without accompanying tliscbsure pages Page 4 of 5
_ .
Holdings_bY Investor
�� Margaret Phillips Timothy G Long Combined Account Portfolio
417 Cherokee Dr Keystone Financial Associates, Date: 02/O6/2012
Mechanicsburg, PA LLC Created: 02/22/2012
KEYSTONE 176 Cumberland Pkwy, Suite 202
FiNnxc�ni,nssoc��rr.s Keystone Financial Associates,
ne..,��, .�, �ir= LIC
Mechanicsburg, PA 17055
Disclosure:
Securities offered through ProEquilies, Inc.,member FINRA/SIPC.ProEquities,Inc.and Keystone Financial Associates,LLC are non-affiliated
companies.
Securities offered through ProEquities, Inc..,member FINRA/SIPC. Keystone Financial Associates,LLC is independent of ProEquities, Inc. Values
are as of 02/O6/2012 unless otherwise noted.We believe the sources to be reliable,howevar,the accuracy and completeness of the information is
not guaranteed,as it is a compilation of informalion from various fnancial sources(mutual funds,direct participation programs,correspondent
brokers,etc.).In the event of any discrepancy,lhe sponsor's valuation shall prevail.
Performance data quoted represents past pertormance and does not guarantee future results.The investment return and principal of an inveslment
will fluctuate so that an investors shares,when redeemed,may be worth more or less than original cost when redeemed.The values represented in
this report may not reflect the true original cost of the clienPS initial inveslmenL Calculations and data provided should not be ralied upon for tax
purposes,use original conirmations and 1099's instead.
The informalion contained in these reports is collected from sources believed to be reliable,however,the accuracy and completeness of tha
information is not guaranteed. Always rely on statements you receive directly from product sponsors,whose valuation shall prevail in the event of
any discrepancy. Investment decisions should not be based solely on the information contained in these reports. If you have any questions
regarding your report,please call your representative.
For fee-based accounts only:The fgures may or may not reflect the deduction of investment advisory fees.If the investment is being managed
through a fee-based account or agreement,the returns may be reduced by those applicable advisory fees.Refer to your Advisor's Form ADV,Part
II.
Real Estate InvestmentTrust(REIT)and Limited Partnerehip
The valuation of non-traded REIT and limited partnership investments is either the initial offering price or an estimated value(both provided by the
issuer).This information is not intended lo reFlect the value you may realize if the issuer liquidates the security or if you sell your interests.In addition,
this eslimated value is reFlected in the total value of your account.This report includes the following limited partnerships and/or real estate
investment trusts:
SIMON PPTY GROUP INC NEW COM
AMERICAN TOWER CORP NEW COM
. DIGITAL RLTY TR INC COM
TAUBMAN CTRS INC COM
HCP INC COM
. .._.._ .__... .. . .
Page 5 0(5
REVa5a9 EX+(oi-io)
-� pennsylvania SCHEDULE F
DEPAFTMENi OF PEVENUE
INHERITANCETAXRETURN ]OINTLY-OWNED PROPERTY
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Margaret B. Phillips 21-12-0240
If an asset bewme�oiMly owned within one year of the decedenCs date of death,tt must be reported on Schedule G.
SURVIVING]OINT TENANT(S) NAME(5) ADDRESS RELATIONSHIP TO DECEDENT
A� Elizabeth P. Shaffer 417 Cherokee Drive, Mechanicsburg, PA 17050 Daughter
B.
C.
70INTLY OWNED PROPERTY:
�a on� DESCRIP'fION OF P0.0PERN %or DATE OF DEATH
REM FOR]OINT NADE INCLUDENAMEOFFlNANCIALINSl117JfI0NAND60NKACC011NTNUMBEkORSIMIWR OFlEOiDEATH DECEDEM'S VFWEOF
NUMBE0. TENqM ]OINT IDENTIFliNG NIIMBER.ATTACH DEED FOR]OINTLY HELD RERL ESfATE. VFLUE OiA55Ef IMEREST DKEDENT5IMERESf
1' A' Wells Fargo,Account No.6610-7172 10,517.42 50 5,258.71
TOTAL(Also enter on Line 6, Recapitulation) � 5,258.71
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REV-isri ex+ po-o��
'� pennsylvania SCHEDULE H
�EP^Ar^+E�*�FAE�E��E FUNERAL EXPENSES AND
INHERITANCETHXRETURN ADMINISTRATIVE COSTS
RESIOENT�ECEDENT
ESTATE Of FILE NUMBER
Margaret B. Phiilips 21-12-0240
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1' William N.Rupert Mortuary,Inc. 5,635.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative Commissions:
Name(s)of Personal Representative(s)
S[reet Address
Gty State 21P
Year(s)Commission Paid:
2. Attomey Fees:
1,400.00
3. Family Ezemption: Qf decedenPs address is not the same as clalmanPs,attach explanatlon.) 3,500.00
aa�mant Elizabeth Shaffer
screet address 417 Cherokee Drive
ciry Mechanicsburg scace PA Ztp 17050
Relationship of Claimant to Decedent_daughter
4. Probate Fees: 334.50
5. Accountant Fees:
6. Tax Retum Preparer Fees:
7.
TOTAL(Also enter on Line 9, Recapitulation) ; 10,869.50
if more space is needed,use additional sheetr of paper of the same size.
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REV-1513 EX+(01-30)
,�i . pennsylvania SCHEDULE ]
e„y OEPAFTMENTOFFEVENIIE
INHERITANCE TFX RENRN BENEPICIARIES
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Margaret B. Phillips 21-12-0240
RELAiIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(5)RECEIVING PROPERN Do Not Lis[Trustee(s) OF ESTATE
I TAXABLE DISTRBUT[ONS[Include outright spousal distributions and transfers under
Sec.9316(aJ(1.2).]
1. Laura Ann Ingelido, 16 Orange Wood Drive, Levittown, PA 19057 Granddaughter 25,000.00
2. Sharon Crane,928 Allenview Drive,Mechanicsburg, PA 17055 Granddaughter 25,000.00
3. April Sibbach, 188 Bamwell Lane, Palmyra,PA 17078 Granddaughter 25,000.00
4. Matthew Shaffer,417 Cherokee Drive,Mechanicsburg,PA 17050 Grandson 20,000.00
5. Elizabeth Shaffer,417 Cherokee Drive, Mechanicsburg,PA 17050 Daughter 5,000.00
6. Lydia Crane,928 Allenview Drive, Mechanicsburg,PA 17055 Great Grandchild 5,000.00
7. Liam Crane,928 Allenview Drive,Mechanicsburg,PA 17055 Great Grandchild 5,000.00
S. Emma Sibbach, 188 Barnwell Lane,Palmyra,PA 17078 Great Grandchild 5,000.00
9. Mark Ingelido, 16 Orange Wood Drive, Levittown, PA 19057 Great Grandchild 5,000.00
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES IS THROUGH 19 OF REV-1500 COVER SHEET,AS APPROPRIATE.
II NON-TAXABLE DISTRIBUTIONS
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1.
New Bethlehem Presbyterian Church,P.O.Box 214,New Bethlehem,PA 16242 1,000.00
2. Oakwood United Presbyterian Church,9296 Curllsville Road,New Bethlehem,PA 16242 1,000.00
3. Silver Springs Presbyterian Church,444 Silver Spring Road, Mechanicsburg,PA 17050 1,000.00
4. Clarion County Historical Sociery,succesor toLicking Cemetery Ass'n, 17 S 5th Ave,Clarion,PA 16214 1,000.00
5. Squirrel Hill Cemetery Association,9391 Curllsville Road,New Bethlehem, PA 16242 1,000.00
TOTAL OF PART II- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-I500 COVER SHEET. $ 5,000.00
If more space is needed,use additional sheetr of paper of the same size.